DIP付费改革实施前后住院费用分析及医疗服务绩效综合评价  

Hospitalization expense analysis and comprehensive evaluation of medical service performance before and after the implementation of DIP payment reform

作　　者：戴石元[1] 聂钊[1] 沈权平[1] 闵定玉 陈英[1] 余奇迪 敖爽 Dai Shiyuan;Nie Zhao;Shen Quanping;Min Dingyu;Chen Ying;Yu Qidi;Ao Shuang(Medical Record Statistics Department,Guizhou Provincial People′s Hospital,Guiyang 520002,China)

机构地区：[1]贵州省人民医院病案统计科,贵州贵阳520002

出　　处：《中国医院统计》2024年第4期278-280,共3页Chinese Journal of Hospital Statistics

摘　　要：目的对比研究医院实施DIP付费改革措施前后住院费用等指标变化,分析和评价医疗服务绩效。方法纳入某院未实施DIP付费改革措施的2023年1季度数据和实施DIP付费改革后的2024年1季度数据,对比住院费用和医疗服务绩效变化。结果DIP付费改革后,患者住院总费用和自付费用均有明显降低,差异有统计学意义(P<0.05),医务性费用占比明显提高,CMI、DRG总量、时间消耗指数、费用消耗指数、低风险死亡率等医疗服务绩效指标均优于改革前。结论DIP付费改革后,医院住院费用控制良好,患者自付费用降低,住院费用结构合理,同时医疗服务绩效水平有明显提高。Objective To compare the changes in hospitalization expenses before and after the implementation of DIP payment reform measures in hospitals,and further analyze and evaluate the performance of medical services.Methods The data of the first quarter of 2023 before DIP payment reform and the data of the first quarter of 2024 after DIP payment implementation in a hospital were collected in this research to analyze the the changes in hospitalization expenses and medical service performance.Results After DIP payment reform,the total hospitalization expense and the out-of-pocket expense for patients were significantly reduced,and the difference was statistically significant(P<0.05).The ratio of medical expenses was significantly increased,and medical service performance indicators such as CMI,total DRG,time consumption index,cost consumption index,and low-risk mortality rate were improved.Conclusion DIP payment reform is effective in controlling hospitalization expenses,reducing patients′out-of-pocket expenses,building acceptable hospitalization expense structure,and significantly improving medical services performance.

关 键 词：DIP付费改革 住院费用 分析 综合指数法 

分 类 号：R197.3[医药卫生—卫生事业管理]